Class 'A' Clinic Llc
May also be knows as Class 'A' Clinic Llc
Adult Medicine Physician in Newport, TN(View on Map)
Legal Business Name
Class 'A' Clinic Llc
Also Known As
Class 'A' Clinic Llc
NPI Number
1073095154
NPI Type
Organization
Enumeration Date
09/05/2018
Specialties
(Taxonomies)Licenses
State
Tennessee
License Number
16835
Contact
Information
Purpose
Mailing
Location
Address
157 HIGHWAY 25 E
157 HIGHWAY 25 E
City
Newport
Newport
State
TN
TN
Postal Code
37821-8157
37821-8157
Country
US
US
Telephone Number
(423) 720-9111
(423) 720-9111
Authorized Official
Name
Charlene Matthews
Title or Position
PRACTITIONER
Telephone Number
(423) 720-9111
Identifiers
Identifier
Q038489
Identifier State
TN
Identifier Issuer
Unknown
Provider data last refreshed from NPPES NPI registry on 11/19/2024
Data last updated by provider on 09/04/2020